🛠 Tech Stack

💼 About This Role

You'll lead end-to-end claims operations in a regulated healthcare environment, ensuring accuracy and compliance while driving process improvement and automation initiatives. This role directly influences service quality, cost efficiency, and customer experience.

🎯 What You'll Do

• Lead end-to-end claims operations ensuring accuracy and compliance.
• Manage and develop a team of claims professionals and supervisors.
• Establish and improve KPIs like cycle time, accuracy, and denial rates.
• Drive process improvement and automation initiatives.
• Oversee risk management and compliance with healthcare regulations.

📋 Requirements

• 7-10 years of experience in claims operations.
• 3-5 years in a leadership or management role.
• Bachelor's degree in Business, Healthcare Administration, or related field.
• Experience with CMS, HIPAA, or similar regulatory frameworks.

✨ Nice to Have

• Experience with Plexis/Orion claims systems.
• Certifications such as CPC, CHC, Six Sigma, or AIC.

🎁 Benefits & Perks

• 💰 Competitive salary $74,800-$102,300 plus annual bonus.
• 🏥 Comprehensive medical, dental, and vision insurance.
• 🏦 401(k) retirement plan with company match.
• 🏋️ Free gym membership to over 13,000 fitness locations.
• 🌴 Generous PTO and holiday policies.

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Phone Screen· 30 min
2. 2Hiring Manager Interview· 45 min
3. 3Final Interview· 60 min